Amanda Marie Diamond, PA-C
Physician Assistant in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1003147406
StatusActive
Last updated in NPPESAug 2, 2012
Details
- NPI
- 1003147406
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Diamond
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2010
- Last updated
- Aug 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085002777 | IL | Yes |
Practice location
360 Station DriveSuite 201
Crystal Lake, IL 60014-7978
Phone 815-455-7200 · Fax 815-455-9256
Mailing address
360 Station DriveSuite 201
Crystal Lake, IL 60014-7978
Phone 815-455-7200 · Fax 815-455-9256
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All 23 Physician Assistant providers in Crystal Lake · All 1,922 providers in Crystal Lake
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